000			03056nam a22003617a 4500
008			201006s20202020 xxu||||| |||| 00| 0 eng d
022			_a1049-9091
024			_a10.1177/1049909120959641 [doi]
040			_aOvid MEDLINE(R)
099			_a32935551
245			_aHospital Readmissions in Hospice Patients: Evaluation of Medication-Related Causes for Readmission.
251			_aAmerican Journal of Hospice & Palliative Medicine. :1049909120959641, 2020 Sep 16
252			_aAm J Hosp Palliat Care. :1049909120959641, 2020 Sep 16
253			_aThe American journal of hospice & palliative care
260			_c2020
260			_fFY2021
265			_saheadofprint
266			_d2020-10-06
501			_aAvailable online from MWHC library: 1999 - present, Available in print through MWHC library:1999-2007
520			_aCONCLUSIONS: These findings suggest that deprescribing practices possibly contributeto readmissions from hospice settings.
520			_aCONTEXT: Hospital readmissions, frequent medication changes, and polypharmacy are common issues for hospice patients. It is important to consider if close monitoring of medications by pharmacists could help these patients avoid hospital readmissions.
520			_aMETHODS: A retrospective chart review was conducted from October 1, 2018 to January 31, 2020. Patients admitted from hospice settings (i.e. Home, ALF, LTCF) and who were seen by the palliative care teams at 9 Maryland and Washington DC MedStar hospitals were included. Demographic information was collected: age, gender, race, primary hospice diagnosis, prognosis determined by provider prior to hospice disposition, reason for readmission, and medication list at readmission. The primary outcomes were the incidence and types of medication-related problems. Secondary outcomes included patient characteristics associated with readmission, and classes/number of medications changed before readmission. Descriptive statistics were used to analyze data.
520			_aOBJECTIVE: The objectives of this study were to determine the incidence and types of medication-related problems that contributed to hospital readmissions from hospice settings.
520			_aRESULTS: Seventy-five hospice patients were readmitted and seen by palliative care during the study period. Forty-three patients (57%) were found to have medication-related problems at readmission. The most common problem identified was needing additional drug therapy. Dose too low, dose too high, incorrect drugs, adverse drug reactions, and non-adherence were also identified. Additional reasons for readmission were: unanticipated new medical issue (n = 46, 61%) and uncontrolled symptoms (n = 34, 34%).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Union Memorial Hospital
657			_aJournal Article
700			_aLowry, Maria Felton
790			_aDeAngelis J, Lowry MF
856			_uhttps://dx.doi.org/10.1177/1049909120959641 _zhttps://dx.doi.org/10.1177/1049909120959641
942			_cART _dArticle
999			_c5566 _d5566